| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,185 |
1,159 |
$119K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,669 |
4,607 |
$109K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
813 |
810 |
$86K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
305 |
303 |
$42K |
| 92082 |
|
893 |
884 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
237 |
237 |
$28K |
| 92250 |
|
623 |
618 |
$23K |
| 92015 |
Determination of refractive state |
1,014 |
1,001 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
60 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$2K |